睡眠质量与社会支持、心理弹性对单相抑郁症患者的影响

The Effects of Sleep Quality,Social Support and Mental Resilience on Unipolar Depression

目的:探究睡眠质量与社会支持、心理弹性对单相抑郁症患者的影响。方法:选取2019年1月至2021年2月湛江市第三人民医院收治的单相抑郁症患者35例作为研究对象,均为女性患者,平均年龄(46.25±3.05)岁,分析其抑郁程度占比及汉密尔顿抑郁量表(HAMD)评分,不同抑郁程度患者睡眠质量(PSQI)评分与社会支持(SSRS)评分、心理弹性评分,进一步分析抑郁程度与PSQI评分、SSRS评分、心理弹性评分的相关性。结果:35例单相抑郁症患者平均HAMD评分为(25.80±2.54)分,中度抑郁占比最高(48.57%);重度抑郁患者PSQI评分高于轻中度抑郁患者,差异有统计学意义(P<0.05),重度抑郁患者SSRS评分与心理弹性评分低于轻中度抑郁患者,差异有统计学意义(P<0.05);中度抑郁患者PSQI评分高于轻度抑郁患者,差异有统计学意义(P<0.05),中度抑郁患者SSRS评分与心理弹性评分低于轻度抑郁患者,差异有统计学意义(P<0.05);抑郁程度与PSQI评分呈负性相关,差异有统计学意义(P<0.05);抑郁程度与SSRS评分与心理弹性评分呈正性相关,差异有统计学意义(P<0.05)。结论:单相抑郁症随抑郁程度加重,睡眠质量越差,自身感觉获得的社会支持越少,心理韧性相对较差,因此需加强护理管理。

Objective:To explore the effects of sleep quality,social support and mental resilience on unipolar depression.Methods:A total of 35 patients with monophasic depression treated in Zhanjiang Third People′s Hospital from January 2019 to February 2021 were selected as the research objects.They were all female patients with an average age of(46.25±3.05)years.The proportion of depression degree and Hamilton Depression Scale(HAMD)score,sleep quality(PSQI)score,social support(SSRs)score and psychological elasticity score of patients with different degrees of depression were analyzed.The degree of depression and PSQI score were further analyzed Correlation between SSRs score and psychological elasticity score.Results:The average HAMD score of 35 patients with monophasic depression was(25.80±2.54),and the proportion of moderate depression was the highest(48.57%).The PSQI score of patients with severe depression was higher than that of patients with mild to moderate depression,and the difference was statistically significant(P<0.05).The SSRS score and psychological elasticity score of patients with severe depression were lower than those of patients with mild to moderate depression,and the difference was statistically significant(P<0.05).The PSQI score of patients with moderate depression was higher than that of patients with mild depression,and the difference was statistically significant(P<0.05).The SSRS score and psychological elasticity score of patients with moderate depression were lower than those of patients with mild depression,and the difference was statistically significant(P<0.05).The degree of depression was negatively correlated with PSQI score,and the difference was statistically significant(P<0.05).The degree of depression was positively correlated with SSRs score and psychological elasticity score,and the difference was statistically significant(P<0.05).Conclusion:Uniphase depression increases with the degree of depression,the worse the sleep quality is,the less social support they feel they get,and the less mental toughness they have.Therefore,nursing management should be strengthened.